REGISTRATION FORM - Women On Target
Please print, fill out this form and return with payment to:
Pleasant Valley Trout and Game Club, PO Box 201, Pleasant Valley, NY 12569
Name: ____________________________________________________________
Address: __________________________________________________________
City: _______________________________________ State: _____ Zip: ________
Phone Number: (_____) _____ - _________ Email: _________________________
Amount Enclosed: $ ______ (Please make checks payable to Pleasant Valley
Trout and Game Club)